Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines.
Stay current on coding guidelines appropriate to the position; learn new appeal categories as production needs require.
Professionally communicate finds, errors, and suggestions to facilitate on-going communications and efficient department operations.
Cotiviti focuses on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. They offer a team-oriented environment and a comprehensive benefits package to address various personal and family needs.
Identifies and applies appropriate ICD-10 and CPT codes.
Ensures accurate entry of insurance benefits and authorizations.
Completes other activities to ensure complete and accurate claims.
Sarasota Memorial Healthcare System is committed to keeping people safe. They require all individuals providing care to vulnerable populations to undergo background screening.
Manage high-volume inbound calls to triage patient needs using clinical judgment and coordinate care.
Communicate with providers and office teams regarding care plans, provide pathology results, schedule appointments, and process prescription refills.
Verify insurance, collect payments, submit prior authorizations, and accurately document interactions in the ModMed EHR system.
Apex Skin is a dermatology practice providing patient care across Northeast Ohio with a focus on prompt, compassionate, and excellent service. It is a physician-led and rapidly growing organization fostering a collaborative, patient-first culture built on teamwork and clinical excellence.